ANTIARRHYTHMIC BENZODIAZEPINES

Abstract: Imidazobenzo-(1,5)-diazepine derivatives with an amide or urea function in the 3-position are useful in the treatment of arrhythmia. The compounds have structural formulae (A) and (B).

Description: TITLE OF THE INVENTION ANTIARRHYTHMIC BENZODIAZEPESfES BACKGROUND OF THE INVENTION Arrhythmias often occur as complications to cardiac diseases such as myocardial infarction and heart failure. In a serious case, arrhythmias give rise to a ventricular fibrillation and can cause sudden death. Though various antiarrhythmic agents are now available on the market, those, having both satisfactory effects and high safety, have not been obtained. For example, antiarrhythmic agents of Class I according to the classification of Vaughan-Williams which cause a selective inhibition of the maximum velocity of the upstroke of the action potential (Vmax) are inadequate for preventing ventricular fibrillation. In addition, they have problems regarding safety, namely, they cause a depression of the myocardial contractility and have a tendency to induce arrythmias due to an inhibition of the impulse conduction. Beta-adrenoceptor blockers and calcium antagonists which belong to Class II and IV respectively, have a defect that their effects are either limited to a certain type of arrhythmia or are contraindicated because of their cardiac depressant properties in certain patients with cardiovascular disease. Their safety, however, is higher than that of the antiarrhythmic agents of Class I. Antiarrhythmic agents of Class HI are drugs which cause a selective prolongation of the duration of the action potential without a significant depression of the Vmax. Drugs in this class are limited. Examples such as sotalol and amiodarone have been shown to possess Class HI properties. Sotalol also possesses Class II effects which may cause cardiac depression and be contraindicated in certain susceptible patients. Also, amiodarone is severely limited by side effects. Drugs of this class are expected to be effective in preventing ventricular fibrillations. Pure Class III agents, by definition, are not considered to cause myocardial depression or an induction of arrhythmias due to the inhibition of the action potential conduction as seen with Class I antiarrhythmic agents. SUMMARY OF THE INVENTION This invention is concerned with a novel method of treating arrhythmia by the administration of a compound of general structural formula: The invention is also concerned with pharmaceutical formulations comprising one or more of the novel compounds as active ingredient, either alone or in combination with one or more of a Class I, Class II or Class IV antiarrhythmic agent. DETAILED DESCRIPTION OF THE INVENTION The compounds useful in the novel method of treatment of this invention have structural formula: or a pharmaceutically acceptable salt thereof, wherein R is 1) phenyl, either unsubstituted or substituted with halo, such as chloro, bromo or fluoro, or Cl-3 alkyl, 2) C5-6 cycloalkyl; A is 1) C2-3 alkylene or alkenylene either unsubstituted or substituted with Cl-3 alkyl, hydroxy-Cl-3 alkyl or O II -C-O (Cl-3 alkyl); and Rl i is , wherein R2 is chloro, Cl-3 alkyl or -CF3; One embodiment of the compounds useful in the novel method of this invention is that wherein Rl is R < • UHMN_ Specific compounds representative of this embodiment are those depicted in the following table: A R R 2 • OH phenyl 3-CH 3 _ CH V_ c Λ_ 'OCH 3 phenyl 3-CH 3 — CH=CH — Phenyl 3 CH 3 phenyl 3-CH 3 This invention is meant to include the use of the individual diastereomers where such exist and mixtures thereof and enantiomers and mixtures of the enantiomers. The pharmaceutically acceptable salts of the compounds of Formula I include the conventional non-toxic salts or the quarternary ammonium salts of the compounds of Formula I formed, e.g., from non-toxic inorganic or organic acids. For example, such conventional non-toxic salts include those derived from inorganic acids such as hydrochloric, hydrobromic, sulfuric, sulfamic, phosphoric, nitric and the like; and the salts prepared from organic acids such as acetic, propionic, succinic, glycolic, stearic, ascorbic, pamoic, maleic, hydroxymaleic, phenylacetic, glutamic, benzoic, salicylic, sulfanilic, 2- acetoxybenzoic, fumaric, toluenesulfonic, methanesulfonic, ethane disulfonic, oxalic, isethionic, and the like. The pharmaceutically acceptable salts can be synthesized from the compounds of Formula I which contain a basic or acidic moiety by conventional chemical methods. Generally, the salts are prepared by reacting the free base or acid with stoichiometric amounts or with an excess of the desired salt-forming inorganic or organic acid or base in a suitable solvent or various combination of solvents. A process for preparing the named compounds of this invention comprises treating a compound of formula II with a sulfonyl chloride such as methanesulfonyl chloride, phenylsulfonyl chloride or toluenesulfonyl chloride in an organic solvent such as methylene dichloride, chloroform, tetrachloroethane or the like in the presence of a strong organic base such as diisopropyl ethyl amine. MeS0 2 CI DIEA CH 2 CI 2 Another novel process for preparing some of the novel compounds of this invention is depicted as follows: In this process, the hemiacetal starting material is treated with borontrifluoride etherate in a chlorinated alkane such as methylene chloride at about 40-60°C until the reaction is complete which occurs in about 1.5 to 3 hours. A third novel process of this invention is depicted as: In this process, an amine H2N-R1 in THF at about -10 to +10°C is treated with triethylamine and triphosgene at about pH 8.5. After 5-10 minutes at -10 to +10°C and 5-10 minutes at ambient temperature, the mixture is treated with the aminobenzodiazepine at about -10° to +10°C for about 5 to 20 minutes. A fourth novel process of this invention is depicted as follows: R 1 In this process the aminobenzodiazepine; the carboxylic acid, R!C02H; 1-hydroxybenzotriazole hydrate (HBT); l-ethyl-3-(3- dimethylaminopropyl)carbodiimide; and triethylamine in DMF is stirred at about room temperature until the reaction is complete, usually about 15 to 24 hours. The compounds useful in the novel method of treatment of the present invention, have the pharmacological properties required for the antiarrhythmic agents of Class I , namely the prolongation of the myocardial action potential in vitro, without a significant depression of the Vmax, and the prolongation of QTc-interval in anesthetized dogs. These compounds are effective in treating and preventing all types of arrhythmias including ventricular and atrial (supraventricular) arrhythmias. The compounds of the present invention are especially useful to control reentrant arrhythmias and prevent sudden death due to the ventricular fibrillation. These compounds are also effective in treating and preventing impaired cardiac pump functions. In the novel method of this invention of treating arrhythmia, one of the compounds or pharmaceutically acceptable salt thereof, is administered in an amount ranging from about 0.0001 to about 20 mg per kg or body weight per day, preferably from about 0.001 to about 10 mg per kg of body weight per day in a single dose or in 2 to 4 divided doses. These compounds can be administered as the sole active ingredient or in combination with other antiarrhythmic agents or other cardiovascular agents. These compounds, or pharmaceutically acceptable salts thereof, in the described dosages, are administered orally, intraperitoneally, subcutaneously, intramuscularly, transdermally, sublingually or intravenously. They are preferably administered intravenously or orally, for example in the form of tablets, troches, capsules, elixirs, suspensions, syrups, wafers, chewing gum, or the like prepared by art recognized procedures. The amount of active compound in such therapeutically useful compositions or preparations is such that a suitable dosage will be obtained. The activity of the compounds described herein as antiarrhythmic agents is measured by their ability to block the IKs and IKr as determined by the following test protocol. Outward potassium currents are measured in single guinea pig ventricular myocytes using a whole-cell voltage clamp technique described in detail elsewhere (Sanguinetti and Jurkiewicz, 1990. Two components of cardiac delayed actifier K + current: differential sensitivity to block by Class in antiarrhythmic agents. J. Gen Phvsiol. 96: 195-215). Myocytes are isolated by enzymatic (collagenase and protease) digestion of Langandorf perfused hearts. Single cells are then voltage clamped using 1 mM square-bore pipettes filled with 0.5 M Kgluconate, 25 mM KC1, 5 mm K(2)ATP. Cells are bathed in a solution containing, in mN: 132 NaCl, 4KC1, 1.2 MgCl[2], 10 HEPES, 10, glucose: pH 7.2, temp. 35°C. Each cell is maintained at a holding potential of -50 mV. Test depolarizations are applied as voltage ramps from -85 to -50 mV, and as steps to -10 mV (0.5 s) and +50 mV (1.0 s). I[KI] is measured as peak outward current during the voltage ramp. I[Kr] is measured as tail currents upon repolarization from -10 mV to -50 mV. I[KS] is measured as time-dependent current during the pulse to +50 mV. Currents are measured during control, then after exposure to drug at two different concentrations. Employing this test the compounds described herein have an IC50 of less than 1000 nM as IKs and/or IKr blockers. EXAMPLE 1 Preparation of N-[(2S,4R)-methyl-6-phenyl-2,4-dihydro-lH- imidazo[ 1 ,2-a] [ 1 ,4]benzodiazepin-4-yl] -N'-[3-methylphenyl]-urea and N-[(2S,4S)-methyl-6-phenyl-2,4-dihydro-lH-imidazo[ benzodiazepin-4-yll-N'-r3-methylphenyll-urea Step A: Synthesis of N- { (S )-(+)-2-amino-[(R,S)-3-(((3- methylphenyl) amino)carbonyl)amino]-5-phenyl-2/ - 1 ,4- benzodiazepin-2-yl ) - 1 -propanol (fl,S)-N-(2,3-Dihydro-2-thiono-5-phenyl-l /-l ,4-benzo- diazepin-3-yl)-N'-(3-methylphenyl)-urea (382 mg, 0.954 mmole) (U.S. Patent 4,820,834) was dissolved in 10 ml of dry tetrahydrofuran and treated in succession with (_S')-(+)-2-amino-l -propanol (297 μL, 3.82 mmole) and mercuric chloride 337 mg. The resulting suspension was then heated at 55°C for 2 hr. The reaction mixture was filtered and the filter cake was washed with tetrahydrofuran. The filtrate was concentrated in vacuo and the residue was flash chromatographed on silica gel (2% methanol in chloroform) to yield 415 mg (95% yield) of the analytical product as a mixture of diastereomers: m.p. 137-140°C. iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: >99% pure at 214 nM; Rf = 0.27 (CHCI3-CH3OH; 92:8) FAB MS: 442 (M+ + H ); Elem. Anal, calc'd for C26-H27N5θ2«0.5CHCl3«0.35CH3θH: Calc'd: C, 62.93; H, 5.68; N, 13.67. Found: C, 62.97; H, 5.50; N, 13.45. Step B: Cyclization of N- { (S)-(+)-2-amino-[(#,5)-3-(((3- memylphenyl)-amino)carbonyl)ammo]-5-phenyl-2//-l ,4- benzodiazepin-2-yl ) -1 -propanol An ice cold solution of 430 mg (0.974 mmole) of N-{ (S)- (+)-2-amino-[(/?,__)-3-(((3-methylphenyl)-amino)carbonyl)amino]-5- phenyl-2 /-l ,4-benzodiazepin-2-yl}-l -propanol in 17 ml of methylene chloride was protected from moisture and treated with methanesulfonyl chloride (91 μL, 1.17 mmole) and diisopropylethylamine 356 μL, 2.04 mmole). After 15 minutes the reaction mixture was allowed to warm to room temperature and stirring was continued for 1.5 hours more. All volatiles were removed under reduced pressure and the residue was dissolved in 190 ml of ethyl acetate. The organic phase was washed once with 10% citric acid solution containing brine (50% by volume), with 10% sodium carbonate solution (2 X 20 ml), and then with brine. The organic extracts were then dried (sodium sulfate) and concentrated to yield 427 mg of crude product as a mixture of diastereomers. This material was purified to homogeneity via HPLC employing a Rexchrom Pirkle Covalent L-Leucine column (5μ, 100A). (Chromatography conditions: 1:1 hexane-isopropanol eluant containing 0.2% triethyl- amine; 2 ml/min flow rate) In this way, N-[(2S,4R)-methyl-6-phenyl- 2,4-dihydro- l -imidazo[ 1 ,2-α] [ 1 ,4]benzo- diazepin-4-yl]-N'-[3-methyl- phenyl]-urea, with retention time of 6.95 minutes was obained in 99.7% chemical purity and 95% diastereomeric purity: m.p. 149°C(d). iHNMR (CDC13): Consistent with structure and confirms solvate form; HPLC: >99% pure at 214 nM; Rf = 0.19 (ethyl acetate-hexane; 7:3) FAB MS: 424 (M+ + H ); Elem. Anal, calc'd for C26H25N5O-0.5CHC13-0.05CH3OH: Calc'd: C, 71.86; H, 5.83; N, 16.03. Found: C, 71.84; H, 5.88; N, 15.86. N-[(2S,4S)-methyl-6-phenyl-2,4-dihydro-l -imidazo[l,2- __][l,4j benzodiazepin-4-yl]-N'-[3-methylphenyl]-urea, with retention time of 11.47 minutes was obained in 99.5% chemical purity and 98.5% diastereomeric purity: m.p. 155°C(d). iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: >99% pure at 214 nM; Rf = 0.33 (ethyl acetate-hexane; 7:3) FAB MS: 424 (M+ + H ); Elem. Anal, calc'd for C26H25N5θ-0.5CHCl3«0.1Hexane: Calc'd: C, 66.18; H, 5.51; N, 14.24. Found: C, 66.40; H, 5.44; N, 14.24. EXAMPLE 2 Preparation of N-[(4R,4S)-6-phenyl-2,4-dihydro-l_ -imidazo[l,2- α .r 1.4 ,benzodiazepin-4-yl ,-N'-r3-methylphenyl]-urea (/-,S)-N-(2,3-Dihydro-2-thiono-5-phenyl- IH- 1 ,4-benzo- diazepin-3-yl)-N'-(3-methylphenyl)-urea and ethanolamine were used to prepare N- { 2-amino-[(/?,S)-3-(((3-methylphenyl)-amino)carbonyl)- am_no]-5-phenyl-2- I -l,4-benzodiazepin-2-yl}-ethanol (m.p. 169-170°C) according to Example 1 , Step A. The latter compound was then converted to the title compound employing reaction conditions identical to those described in Example 1, Step B. The analytical product was obtained as a white solid via flash chromatography on silica gel (chloroform-methanol, 88:12) followed by trituration of the chromatographed product with ethyl ether: m.p. 147°C(d). iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: >91% pure at 214 nM; Rf = 0.3 (CHCI3-CH3OH; 9:1) FAB MS: 410 (M+ + H ); Elem. Anal, calc'd for C25H23N5θ-0.15CHCl3«0.75CH3θH: Calc'd: C, 68.90; H, 5.84; N, 15.52. Found: C, 68.92; H, 5.67; N, 15.18. EXAMPLE 3 Preparation of N-[(2R,4R,4S)-memyl-6-phenyl-2,4-dihydro-l//- imidazo r 1.2-ά\ \ 1.41benzodiazepin-4-yll -N'- l " 3 -methylphenyll -urea (#,S)-N-(2,3-Dihydro-2-thiono-5-phenyl-l//-l ,4- benzodiazepin-3-yl)-N'-(3-methylphenyl)-urea and (/?)-(-)-2-amino-l - propanol were used to prepare N-{ (R)-(-)-2-amino-[(/?,S)-3-(((3- methy lphenyl)amino)carbonyl)-amino] -5-phenyl-2 - 1 ,4-benzodiazepin- 2-yl}-l -propanol according to Example 1, Step A. The latter compound was then converted in 76% yield to the title compound (as a mixture of diastereomers) employing reaction conditions identical to those described in Example 1, Step B: m.p. 141°C (d). iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: Isomer A & B >95% pure at 214 nM; Isomer A: Rf = 0.33 (ethyl acetate-hexane, 4:1), Isomer B: Rf = 0.42 (ethyl acetate- hexane, 4:1) FAB MS: 424 (M+ + H ); Elem. Anal, calc'd for C26H25N5θ-0.65Ether- » 0.10Hexane: Calc'd: C, 73.01; H, 6.90; N, 14.58. Found: C, 72.99; H, 6.62; N, 14.20. EXAMPLE 4 Preparation of N-[(lR,4R,4S)-memyl-6-phenyl-2,4-dihydro-l/ - imidazoπ .2-αl π .41benzodiazepin-4-yll-N'-r3-methylphenyll-urea (7_,__)-N-(2,3-Dihydro-2-thiono-5-phenyl-l -l,4- benzodiazepin-3-yl)-N'-(3-methylphenyl)-urea (180 mg, 0.449 mmole) and (/?)-(-)-l-amino-2-propanol (142 μL, 1.796 mmole) were used to prepare 70 mg of N- { (R)-(-)-l -amino-[(Λ,5)-3-(((3-methylphenyl)- amino)carbonyl)-amino]-5-phenyl-2 -l ,4-benzodiazepin-2-yl } -2- propanol according to Example 1, Step A. The latter compound was then converted in 96% yield to the title compound (as a mixture of diastereomers) employing reaction conditions identical to those described in Example 1, Step B: m.p. 140°C (d). iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: 97.6% pure at 214 nM; Rf = 0.16 (ethyl acetate-hexane, 7:3); FAB MS: 424 (M+ + H ); Elem. Anal, calc'd for C26H25N5θ « 0.05CHCl3-0.10Hexane: Calc'd: C, 73.06; H, 6.09; N, 15.99. Found: C, 72.88; H, 6.00; N, 15.71. EXAMPLE 5 Preparation of N-[(5R,5S)-7-phenyl-l ,2,3,5-tetrahydropyrimido[l ,2- αl . 1.41benzodiazepin-5 - yll -N'- 1 " 3 -meth ylphenyll -urea (Λ, 1 _.)-N-(2,3-Dihydro-2-thiono-5-phenyl-l_ t -l,4- be__zodiazepin-3-yl)-N'-(3-methylphenyl)-urea (135 mg, 0.337 mmole) and 1 -propanolamine (102 μL, 1.35 mmole) were used to prepare 110 mg (74% yield) of N-{3-amino-[(Λ,5)-3-(((3-methylphenyl)- amino)carbonyl)amino]-5-phenyl-2 -l ,4-benzodiazepin-2-yl } -propanol (m.p. 195-196°C) according to Example 1, Step A. The latter compound was then converted to the title compound employing reaction conditions identical to those described in Example 1, Step B. The analytical product was obtained as a white solid in 82%yield via flash chromatography on silica gel (chloroform-methanol, 88:12) followed by trituration of the chromatographed product with an ethyl ether- petroleum ether solvent mix: m.p. 172-174°C(d). iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: >99% pure at 214 nM; Rf = 0.2 (CHCI3-CH3OH; 9:1) FAB MS: 424 (M+ + H ); Elem. Anal, calc'd for C26H25N5O-0.5CHC-3-1.35CH3OH: Calc'd: C, 63.53; H, 5.92; N, 13.30. Found: C, 63.51; H, 5.94; N, 13.55. EXAMPLE 6 Preparation of N-[(2S,4R)-methyl-5-cyclohexyl-2,4-dihydro-l /- _midazo[l,2-_.][l,4]benzodiazepin-4-yl]-N'-[3-methylphenyl]-urea and N-[(2S,4S)-methyl-5-cyclohexyl-2,4-dihydro-l /-imidazo[l ,2-α] [1 ,4] benzodiazepin-4-yll-N'-r3-methylphenyll-urea Step A: Synthesis of l,3-dihydro-5-cyclohexyl-3(R,S)-[(benzyloxy- carbonyPaminol -2H- 1.4-benzodiazepin-2-thione 1 ,3-Dihydro-5-cyclohexyl-3(R,S)-[(benzyloxycarbonyl)- amino]-2_ t /-l,4-benzodiazepin-2-one (M. Chambers, et. ak Biomed. Chem. Lett. 1993, in press) (1.09 g, 2.79 mmole) was mixed with 1.13 g (2.79 mmole) of 2,4-bis(4-methoxyphenyl)-l,3-dithia-2,4- diphosphet-ane-2,4-disulfide in 26 ml of toluene. The resulting suspension was heated to reflux for 1 hour. The reaction mixture was cooled, filtered, and concentrated in vacuo. The residue was flash chromatographed on silica gel (ethyl acetate-hexane, 1:3) and the product containing fractions were pooled and concentrated to give the title compound in approxi-mately 85% purity. This material was recrystallized from hexane-ethyl acetate (1:1) to give 850 mg (75%) of the title compound in analytical form: m.p. 164-165°C. Step B: Synthesis of l,3-dihydro-5-cyclohexyl-3(R,S)-amino-2 - 1.4-benzodiazepin-2-thione 1 ,3-Dihydro-5-cyclohexyl-3(R,S)-[(benzyloxycarbonyl)- amino]-2_¥-l,4-benzodiazepin-2-thione (787 mg, 1.93 mmole) was dissolved in 40 ml of a 1:1 mixture of methylene chloride and acetic acid. The resulting solution was cooled to 0°C and a continuous stream of hydrogen bromide gas was passed into the stirred solution for 10 minutes. The reaction vessel was capped and the reaction mixture was allowed to warm to ambient temperature over 5 hours. All volatiles were removed under reduced pressure and the yellow residual solid was azeotropically dried with toluene. This material was partitioned between 180 ml of ethyl acetate and 7.3 ml of 10% sodium carbonate solution. The resulting suspension was stirred for 5 minutes and then filtered. The filter cake was washed with ethyl acetate, dried m vacuo over phosporus pentoxide (40°C), and triturated with ethyl acetate- hexane (1:1) to give 492 mg of the title compound (93% yield). Step C: Synthesis of (R,S)-N-[2,3-dihydro-2-thiono-5-cyclohexyl- 2//-1.4-benzodiazepin-3-vn-N'-r3-methylDhenyll-urea 1 ,3-Dihydro-5-cyclohexyl-3(R,S)-_ mino-2//-l ,4- benzodiazepin-2-thione (240 mg, 0.878 mmole) and 124 μL of m- tolylisocyanate were combined in 22 ml of tetrahydrofuran at 0°C under nitrogen. The reaction mixture was allowed to warm to ambient temperature over a 45 minute period and was filtered. The filtrate was concentrated under reduced pressure and the residue was chromato- graphed on silica gel eluting initially with chloroform and then with 1 % methanol in chloroform. The title compound was thus obtained in 92% yield as a racemic mixture whose iHNMR spectrum confirmed the structure assignment. Step D: Synthesis of N-{ (S)-(+)-2-amino-[(/-_,S)-3-(((3- methylphenyl) ammo^arbony^aminol-S-cyclohexyl^//- 1.4-benzodiazepin-2-yl 1 - 1 -propanol Employing conditions identical to those described in Example 1, Step A, (R,S)-N-[2,3-dihydro-2-thiono-5-cyclohexyl-2//- l,4-benzodiazepin-3-yl]-N'-[3-methylphenyl]-urea (330 mg, 0.812 mmole) was reacted with (5)(-(+)-2-amino-l -propanol and 287 mg of mercuric chloride in 8 ml of tetrahydrofuran to yield 363 mg of the title compound as a mixture of diastereomers. (iHNMR (CDCI3): Confirms structure assignment.) Step E: Cyclization of N-{(__:)-(+)-2-amino-[(/?,5)-3-(((3- memylphenyl)-__mmo)carbonyl)ammo]-5-cyclohexyl-2_Υ- 1.4-benzodiazepin-2-yl ) - 1 -propanol N- { (5)-(+)-2-Amino-[(/?,5)-3-(((3-methylphenyl)-amino)- carbonyl)amino] -5-cyclohexyl-2 /- 1 ,4-benzodiazepin-2-yl } - 1 -propanol (365 mg) was converted to the title compounds according to the procedure outlined in Example 1, Step B. Separation of the final product diastereomeric mixture via chiral preparative HPLC chromato- graphy (cf. Example 1, Step B) yielded N-[(2S,4R)-methyl-6-cyclohex- yl-2,4-dihydro-l -imidazo[l,2-α][l,4]benzodiazepin-4-yl]-N'-[3-methyl- phenyl]-urea with 97% diastereomeric purity: m.p. 166°C. iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: >97% pure at 214 nM; Rf = 0.16 (ethyl acetate-hexane; 7:3) FAB MS: 430 (M+ + H ). N- [(2S ,4S)-methyl-6-cyclohexyl-2,4-dihydro- 1/ -imidazo- [ 1 ,2-a] [ 1 ,4] -benzodiazepin-4-yl] -N'- [3-methylphenyl] -urea was obained in 99.5% chemical purity and 70% diastereomeric purity: m.p. 142°C(d). iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: >99% pure at 214 nM; Rf = 0.30 (ethyl acetate-hexane; 7:3) FAB MS: 430 (M+ + H ); Elem. Anal, calc'd for C26H3lN5θ-0.4CHCl3-0.15Ethyl acetate: Calc'd: C, 66.11; H, 6.70; N, 14.28. Found: C, 66.38; H, 6.46; N, 14.24. EXAMPLE 7 Preparation of N-[(2S,4R,4S)-methyl-6-phenyl-2,4-dihydro-l#- imidazo . 1.2-al I " 1.41benzodiazepin-4-yll -N'- r4-Chloropheny 11 -urea 5 (R.,5')-N-(2,3-Dihydro-2-thiono-5-phenyl-l /-l ,4- benzodiazepin-3-y l)-N'-(4-chlorophenyl)-urea and (/?)-(-)-2-amino- 1 - propanol were used to prepare N-{(R)-(-)-2-amino-[(_ ,__')-3-(((4- chlorophenyl)amino)carbonyl)-amino] -5-phenyl-2 - 1 ,4-benzodiazepin- 2-yl}-l -propanol according to Example 1, Step A. The latter l o compound was then converted to the title compound (as a mixture of diastereomers) employing reaction conditions identical to those described in Example 1, Step B: m.p. 164°C (d). iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: Isomer A & B >95% pure at 214 nM; Rf = 0.67 (chloroform- 15 methanol, 9:1); FAB MS: 444 (M+ + H ); Elem. Anal, calc'd for C25H22CIN5O: Calc'd: C, 67.64; H, 5.00; N, 15.78. Found: C, 67.24; H, 5.13; N, 13.14. 20 EXAMPLE 8 Preparation of N-[(2S,4R,4S)-methyl-6-phenyl-2,4-dihydro-l//- imidazo.1.2-__ " 11 " ! .4 lbenzodiazepin-4-yl l-N'-r3-Chlorophenyl 1-urea 25 (#,S)-N-(2,3-Dihydro-2-thiono-5-phenyl-ltf-l,4- benzodiazepin-3-yl)-N'-(3-chlorophenyl)-urea and (_ )-(-)-2-amino- 1 - propanol were used to prepare N-{(R)-(-)-2-amino-[( J R, 1 _.)-3-(((4- chlorophenyl)amino)carbonyl)-amino] -5-phenyl-2 - 1 ,4-benzodiazepin- 2-y 1 } - 1 -propanol according to Example 1, Step A. The latter 30 compound was then converted to the title compound (as a mixture of diastereomers) employing reaction conditions identical to those described in Example 1, Step B: m.p. 143-146°C (d). iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: Isomer A & B >95% pure at 214 nM; Rf = 0.68 (chloroform- methanol, 9:1); FAB MS: 444 (M+ + H ); Elem. Anal, calc'd for C25H22ClN5θ « 0.45EtOAc«0.2CHCl3: 5 Calc'd: C, 63.91; H, 5.12; N, 13.80. Found: C, 63.69; H, 5.22; N, 13.91. EXAMPLE 9 l o Preparation of N-[(2S,4R,4S)-methyl-6-phenyl-2,4-dihydro-l//- imidazo[l ,2-a] [1 ,4]benzodiazepin-4-yl]-N'-[4-Trifluoromethylphenyl]- urea (fl,S)-N-(2,3-Dihydro-2-thiono-5-phenyl-l-Y-l,4- benzodiazepin-3-yl)-N'-(4-trifluoromethylphenyl)-urea and (R)-(-)-2- 15 amino-1 -propanol were used to prepare N-{(/?)-(-)-2-amino-[(/?,5)-3- (((4-chlorophenyl)amino)carbony l)-amino] -5-phenyl-2/ - 1 ,4- benzodiazepin-2-yl}-l-propanol according to Example 1, Step A. The latter compound was then converted to the title compound (as a mixture of diastereomers) employing reaction conditions identical to those 20 described in Example 1, Step B: m.p. 148-152°C (d). iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: Isomer A & B >96% pure at 214 nM; Rf = 0.66 (chloroform- methanol, 9:1); FAB MS: 478 (M+ + H ); 25 Elem. Anal, calc'd for C26H22F N5O-0.45 2-propanol: Calc'd: C, 65.10; H, 5.11; N, 13.88. Found: C, 65.23; H, 4.88; N, 13.85. 30 EXAMPLE 10 Preparation of N-[(2S,4S)-methyl-5-cyclohexyl-2,4-dihydro-l - imidazo[l,2-α][l,4]benzodiazepin-4-yl]-N'-[6-indolyl]-urea and N- [(2S,4R)-methyl-5-cyclohexyl-2,4-dihydro-l/ -imidazo[l ,2-α][l,4] benzodiazepin-4-yll-N'-r6-indolyll-urea Step A: Synthesis of N-{(S)-(+)-2-amino-[(R,5)-3-(benzyloxy- carbonyl)amino]-5-cyclohexyl-2/ -l,4-benzodiazepin-2-yl} - 1 -propanol l ,3-Dihydro-5-cyclohexyl-3(R,S)-[(benzyloxycarbonyl)- amino]-2/ -l ,4-benzodiazepin-2-thione (1 g, 2.45 mmole) was dissolved in 8 ml of dry tetrahydrofuran and treated in succession with (S)-(+)-2- amino-1 -propanol (763 μL, 9.80 mmole) and mercuric chloride 866 mg. The resulting suspension was then heated at 55°C for 2 hr. The reaction mixture was filtered and the filter cake was washed with tetrahydrofuran. The filtrate was concentrated in vacuo and the residue was flash chromatographed on silica gel (ethyl acetate-hexane gradient, 20-60% ethyl acetate) to yield 1.17 g (61% yield) of the analytical product as a mixture of diastereomers: Rf = 0.3 (ethyl acetate-hexane, 1 :1); iHNMR (CDC13): Consistent with structure. Step B: Cyclization of N-{ (5)-(+)-2-amino-[(/_,S)-3-(benzyloxy- carbonyl)amino] -5-cyclohexyl-2/ - 1 ,4-benzodiazepin-2-yl } - 1 -propanol An ice cold solution of 670 mg (1.49 mmole) of ^{(5)- (+)-2-amino-[(Λ,-S , )-3-(benzyloxycarbonyl)amino]-5-cyclohexyl-2_ l -l,4- benzodiazepin-2-yl}-l -propanol in 26 ml of methylene chloride was protected from moisture and treated with methanesulfonyl chloride (139 μL, 1.79 mmole) and diisopropylethylamine (544 μL, 3.13mmole). After 15 minutes the reaction mixture was allowed to warm to room temperature and stirring was continued for 1.5 hours more. All volatiles were removed under reduced pressure, the residue was azeotroped with toluene and then dissolved in 200 ml of ethyl acetate. The organic phase was washed once with 10% citric acid solution containing brine (50% by volume), with 10% sodium carbonate solution (2 X 20 ml), and then with brine. The organic extracts were then dried (sodium sulfate) and concentrated to yield 567 mg of crude product as a mixture of diastereomers. This material was taken directly to the next Step C. Step C: Preparation of (4R,4S)-__mino-(2S)-methyl-6-cyclohexyl- 2.4-dihydro-l//-imidazo.1.2-ά\ I " ! .4 Ibenzodiazepine (4R,4S)-(Benzyloxycarbonyl)amino-(2S)-methyl-6- cyclohexyl-2,4-dihydro-l/ -imidazo[l ,2-__][l ,4]benzodiazepine (250 mg, 0.581 mmole) was dissolved in 8 ml of dry methanol and treated with 150 mg of 10% palladium/carbon catalyst. The resulting suspension was stirred at ambient temperature for 1.25 hours under a hydrogen atmosphere. The reaction mixture was filtered and the catalyst was washed with methanol. The filtrated was concentrated jn vacuo and the residue was azeotropically dried with toluene to give 159 mg of the product. Step D: Reaction of (4R,4S)-amino-(2S)-methyl-6-cyclohexyl-2,4- dihydro-l -imidazo[l,2-_z][l,4]benzodiazepine with 6- indolylisocvanate 6-Aminoindole (92.1 mg, 0.232 mmole) was dissolved in 17 ml of tetrahydrofuran at 0°C and treated with 97 μL of triethyl- amine. To this mixture was added 69 mg (0.232 mmole) of triphosgene. More triethylamine was added until the pH of the reaction mixture registered 8.5 using moist pH paper. The reaction mixture was stirred at 0°C for 5 minutes and at ambient temperature for 5 minutes more. The reaction mixture was recooled to 0°C and treated with 159 mg (0.536 mmole) of (4R,4S)-_ιmino-(2S)-methyl-6-cyclohexyl-2,4- dihydro-l/ -imidazo[l,2-_7][l,4]benzodiazepine in 10 ml of tetrahydro¬ furan. After 10 minutes the reaction mixture was filtered and the filtrate was concentrated. The resulting residue was partitioned between 10% citric acid solution and ethyl acetate (75 ml). The organic phase was then washed in succession with 10% sodium carbonate solution and brine, then dried and concentrated to give 323 mg of the crude product. Separation of the final product diastereomeric mixture via chiral preparative HPLC chromatography (cf. Example 1 , Step B) yielded 83 mg of N-[(2S,4S)-methyl-5-cyclohexyl-2,4-dihydro-l -imidazo[l,2- _.][l,4]benzodiazepin* -yl]-N'-[6-indolyl]-urea with 99% diastereomeric purity: m.p. 180°C. iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: >97% pure at 214 nM; Rf = 0.52 (hexane-2-propanol; 3:1) FAB MS: 455 (M+ + H ). Elem. Anal, calc'd for C27H3θN6θ«0.35CHCl3-0.75CH3θH: Calc'd: C, 64.85; H, 6.46; N, 16.15. Found: C, 64.84; H, 6.09; N, 15.81. N-[(2S,4R)-methyl-5-cyclohexyl-2,4-dihydro-l- z -imidazo[ 1 ,2-α] [ 1 ,4] benzodiazepin-4-yl]-N'-[6-indolyl]-urea (153 mg total) was obained in >99% diastereomeric purity and >98% chemical homogeneity: m.p. 191°C(d). iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: >98% pure at 214 nM; Rf = 0.38 (hexane-2-propanol; 3:1) FAB MS: 455 (M+ + H ). Elem. Anal, calc'd for C27*H3θN6θ « 0.35CHCl3-0.75CH3θH: Calc'd: C, 64.85; H, 6.46; N, 16.15. Found: C, 64.83; H, 6.15; N, 15.79. EXAMPLE 11 Preparation of N-[(2S,4S)-methyloxycarbonyl-6-phenyl-2,4-dihydro- l/ -imidazo[l,2--z][l,4]benzodiazepin-4-yl]-N'-[3-methylphenyl]-urea and N-[(2S ,4R)-methyloxycarbonyl-6-phenyl-2,4-dihydro- \H- imidazo. 1.2-aλ \ 1.41benzodiazepin-4-vn-N'-r3-methylphenyl1-urea (Λ,S)-N-(2,3-Dihydro-2-thiono-5-phenyl-l -l,4-benzo- diazepin-3-yl)-N'-(3-methylphenyl)-urea (120 mg, 0.3 mmole) and (D)- serine methyl ester hydrochloride 187 mg (1.2 mmole) were used to prepare 140 mg of methyl N-(R)-2-amino-{ [(Λ,S)-3-(((3-methylphenyl) amino)carbonyl)amino] -5-phenyl-2_ t _ r - 1 ,4-benzodiazepin-2-y 1 } -2- hydroxypropanoate according to the procedure of Example 1 , Step A. The latter compound was then converted to the title compound (as a 5 mixture of diastereomers) employing reaction conditions identical to those described in Example 1, Step B. Separation of the final product diastereomeric mixture was accomplished by flash chromatography on silica gel (70% ethyl acetate initially and then 80% ethyl acetate-hexane) yielding 50 mg of N-[(2S,4S)-methyloxycarbonyl-6-phenyl-2,4- l o dihydro-l/ -imidazo[l ,2-α] [1 ,4]benzodiazepin-4-yl]-N'-[3-methyl- phenyl]-urea after trituration with ether-hexane solution: m.p. 152°C (d). iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: >88% diastereomeric purity and >93% chemical at 214 nM; 15 Rf = 0.62 (ethyl acetate-hexane; 4:1) FAB MS: 468 (M+ + H ). Elem. Anal, calc'd for C27H25N5θ3 « 0.25CHCl3-0.10EtOAc: Calc'd: C, 65.60; H, 5.19; N, 13.84. Found: C, 65.73; H, 5.25; N, 13.77. 20 N-[(2S,4R)-methyloxycarbonyl-6-phenyl-2,4-dihydro-l/ -imidazo[l,2- α][l,4]benzodiazepin-4-yl]-N'-[3-methylphenyl]-urea (20 mg) was obained in >77% diastereomeric purity and >95% Chemical homogeneity: m.p. 137-140°C(d). 25 iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: >95% pure at 214 nM; Rf = 0.35 (ethyl acetate-hexane; 4:1) FAB MS: 468 (M+ + H ). Elem. Anal, calc'd for C27H25N5O3-0.4CHC13: 30 Calc'd: C, 63.86; H, 4.97; N, 13.59. Found: C, 63.74; H, 5.13; N, 13.32. EX AMPLE 12 Preparation of N-[6-phenyl-2,4-dihydro-4-¥-imidazo[l,2-α][l,4]benzo- diazepin-4-yl1-N'-r3-methylphenyl1-urea 5 (-* ,S)-N-(2,3-Dihydro-2-thiono-5-phenyl-l_ I -l ,4-benzo- diazepin-3-yl)-N'-(3-methylphenyl)-urea (153 mg, 0.382 mmole) and aminoacetaldehyde dimethylacetal 167 μL (1.528 mmole) were used to prepare 196 mg of N-2-amino-{ [(R,S)-3-(((3-methylphenyl)amino)- carbonyl)amino]-5-phenyl-2/ -l ,4-benzodiazepin-2-yl } -1 -acetaldehyde l o dimethylacetal according to the procedure of Example 1 , Step A. The latter compound (180 mg) was dissolved in 5 ml of methylene chloride and treated with 1.5 ml of borontrifhioride etherate. The reaction mixture was stirred at 50°C for 2.5 hours, cooled, diluted with 250 ml of ethyl acetate. The resulting solution was washed with 10% sodium 15 carbonate solution and brine, then dried and concentrated to give 180 mg of the title compound in crude form. The analytical material was obtained after preparative thick layer chromatography on silica gel (chloroform-methanol elution, 96:4): m.p. 144°C(d). iHNMR (CDCI3): Consistent with structure and confirms solvate form; 20 HPLC: >99% pure at 214 nM; Rf = 0.53 (chloroform-methanol; 9:1) FAB MS: 408 (M+ + H ). Elem. Anal, calc'd for C25*H2lN5θ-0.4CHCl3: Calc'd: C, 67.01; H, 4.74; N, 15.39. ; Found: C, 66.94; H, 4.87; N, 15.35. 25 30 EX AMPLE 13 Preparation of N-[(lR,4S)-methyl-6-phenyl-2,4-dihydro-l_ * 7- imidazo[l,2-α][l,4]benzodiazepin-4-yl]-N'-[3-methylphenyl]-urea and N-[(lR,4R)-methyl-6-phenyl-2,4-dihydro-l /-imidazo[l ,2-α] [1 ,4] benzodiazepin-4-yll-N'-r3-methylphenyl]-urea Step A: Synthesis of N-{(2S)-(+)-3-amino-[(R,S)-3-(((3-methyl- phenyl)amino)carbonyl)amino] -5-phenyl-2 - 1 ,4-benzo- diazepin-2-yl I -2-propanol (/?„S)-N-(2,3-Dihydro-2-thiono-5-phenyl-l_ r /-l,4- benzodiazepin-3-yl)-N'-(3-methylphenyl)-urea (460 mg, 1.15 mmole) was dissolved in 20 ml of dry tetrahydrofuran and treated in succession with (_$•)-(+)- l-amino-2-propanol (363 μL, 4.6 mmole) and mercuric chloride 406 mg. The resulting suspension was then heated at 55°C for 2 hr. The reaction mixture was filtered and the filter cake was washed with tetrahydrofuran. The filtrate was concentrated jn vacuo and the residue was flash chromatographed on silica gel (2% methanol in chloroform) to yield 390 mg (77% yield) of the analytical product as a mixture of diastereomers; iHNMR (CDC13): Consistent with structure. Step B: Cyclization of N-{(5)-(+)-3-amino-[(R.,S)-3-(((3-methyl- phenyl)-amino)carbonyl)amino]-5-phenyl-2 -l,4-benzo- diazepin-2-yl ) -2-propanol An ice cold solution of 390 mg (0.883 mmole) of N-{(S)- (+)-3-amino-[(i?,5')-3-(((3-methylphenyl)-amino)carbonyl)amino]-5- phenyl-2 -l,4-benzodiazepin-2-yl}-2-propanol in 20 ml of methylene chloride was protected from moisture and treated with methanesulfonyl chloride (82 μL, 1.06 mmole) and diisopropylethylamine (323 μL, 1.86 mmole). After 15 minutes the reaction mixture was allowed to warm to room temperature and stirring was continued for 24 hours more. All volatiles were removed under reduced pressure and the residue was dissolved in 190 ml of ethyl acetate. The organic phase was washed once with 10% citric acid solution containing brine (50% by volume), with 10% sodium carbonate solution (2 X 20 ml), and then with brine. The organic extracts were then dried (sodium sulfate) and concentrated to yield 370 mg of crude product as a mixture of diastereomers. This material was purified to homogeneity via HPLC employing a Rexchrom Pirkle Covalent L-Leucine column (5μ, 100 A). (Chromatography conditions: 1:1 hexane-isopropanol eluant containing 0.2% triethylamine; 2 ml/min flow rate). In this way, N-[(lR,4S)-methyl-6- phenyl-2,4-dihydro-l/ -imidazo[l,2-α][l,4]benzodiazepin-4-yl]-N'-[3- methylphenyl]-urea was obained in excess of 99% diastereomeric purity: m.p. 135-138°C(d). iHNMR (CDC13): Consistent with structure and confirms solvate form; HPLC: >99% pure at 214 nM; Rf = 0.14 (ethyl acetate-hexane; 4:1) FAB MS: 424 (M+ + H ); Elem. Anal, calc'd for C26H25N5θ-0.25CHCl3«0.15hexane: Calc'd: C, 69.93; H, 5.91; N, 15.02. Found: C, 69.95; H, 5.73; N, 15.04. N-[(lR,4R)-methyl-6-phenyl-2,4-dihydro-l- z -imidazo[l,2- α][l,4]benzodiazepin-4-yl]-N'-[3-methylphenyl]-urea was obtained in 99% diastereomeric purity: m.p. 145-148°C(d). iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: >99% pure at 214 nM; Rf = 0.14 (ethyl acetate-hexane; 4:1) FAB MS: 424 (M+ + H ); Elem. Anal, calc'd for C26H25N5θ-0.35CHCl3-0.10.-propanol: Calc'd: C, 67.91; H, 5.59; N, 14.86. Found: C, 68.15; H, 5.58; N, 14.59. EXAMPLE 14 Preparation of (4S)-N-[(2S)-methyl-6-cyclohexyl-2,4-dihydro-l /- imidazo[ 1 ,2-α] [ 1 ,4]benzodiazepin-4-yl] -naphthalene- 1 -acetamide and 5 (4R)-N-[(2S)-methyl-6-cyclohexyl-2,4-dihydro-l//-imidazo[l ,2- ά\ \ 1.41benzodiazepin-4-yl1 -naphthalene- 1 -acetamide 1-Naphthylacetic acid (45 mg, 0.242 mmole) was added to a solution of 3 ml of dry N,N-dimethylformamide containing 33 mg of 1-hydroxybenzotriazole hydrate (0.242 mmole). To this mixture was ι o added 1 -ethyl-3-(3 -dimethylamininopropyl)carbodiimide hydrochloride (46 mg, 0.242 mmole) and (4R,4S)-amino-(2S)-methyl-6-cyclohexyl- 2,4-dihydro-l f-imidazo[l,2-α][l,4]benzodiazepine (60 mg, 0.202 mmole), the latter prepared according to Example 10, Step C. The pH of the resulting reaction mixture was adjusted to 8.5 with triethylamine 15 and this mixture was stirred at ambient temperature for 10 minutes under an inert atmosphere. The reaction mixture was concentrated under reduced pressure and the residue was partitioned between ethyl acetate and water. The organic phase was separated, washed with brine and dried. Concentration of the combined organic extracts yielded 173 20 mg of crude product. Purification to homogeneity of the product mixture was accomplished via HPLC employing a Rexchrom Pirkle Covalent L-Leucine column (5μ, 100A). (Chromatography conditions: 1:1 hexane-isopropanol eluant containing 0.2% triethylamine; 2 ml/min flow rate) In this way, (4S)-N-[(2S)-methyl-6-cyclohexyl-2,4-dihydro- 25 l /-imidazo [ 1 ,2-α] [ 1 ,4]benzodiazepin-4-yl] -naphthalene- 1 -acetamide was obained in excess of 75% diastereomeric purity: m.p. 127°C(d). iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: >98% chemically pure at 214 nM; Rf = 0.13 (ethyl acetate- hexane; 4:1) 30 FAB MS: 465 (M+ + H ); Elem. Anal, calc'd for C30H32N4θ-0.4CHCl3 « 0.15hexane: Calc'd: C, 71.56 H, 6.62; N, 10.67. Found: C, 71.66; H, 6.61; N, 10.98. (4R)-N-[(2S)-methyl-6-cyclohexyl-2,4-dihydro-l/ -imidazo[l,2- α][l,4]benzodiazepin-4-yl] -naphthalene- 1 -acetamide was obtained in 95% diastereomeric purity: m.p. 104°C(d). iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: >99% pure at 214 nM; Rf = 0.24 (ethyl acetate-hexane; 4:1) FAB MS: 465 (M+ + H ); Elem. Anal, calc'd for C30H32N4θ«0.1CHCl3«0.25hexane: Calc'd: C, 76.19; H, 7.20; N, 11.25. Found: C, 76.50; H, 6.95; N, 11.23. EXAMPLE 15 Preparation of N-[(2S,4S)-methyl-5-phenyl-2,4-dihydro-l_ z - imidazo[l,2-α][l,4]benzodiazepin-4-yl]-N'-[6-indolyl]-urea and N- [(2S ,4R)-methyl-5-phenyl-2,4-dihydro- l/Z-imidazot 1 ,2-α] [ 1 ,4] benzodiazepin-4-yll-N'-r6-indolyl]-urea Step A: Synthesis of N-{(_ )-(+)-2-am_no-[(R,5)-3-(benzyloxy- carbonyl)amino] -5-phenyl-2 - 1 ,4-benzodiazepin-2-yl } -1 - propanol 1 ,3 -Dihydro-5-pheny 1-3 (R,S)- [(benzyloxy carbony l)amino] - 2/ -l,4-benzodiazepin-2-thione (3.5 g, 8.7 mmole) was dissolved in 100 ml of dry tetrahydrofuran and treated in succession with (5)-(+)-2- amino-1 -propanol (1.36 ml, 17.40 mmole) and mercuric chloride (3.08 g, 11.3 mmole). The resulting suspension was then heated at 55°C for 3 hr. The reaction mixture was filtered and the filter cake was washed with tetrahydrofuran. The filtrate was concentrated in vacuo and the residue was flash chromatographed on silica gel (ethyl acetate-hexane 1:1) to yield 1.16 g of the analytical product as a mixture of diastereomers: iHNMR (CDCI3): Consistent with structure. Step B: Cyclization of N- { (S)-(+)-2-amino-[(/?,__ , )-3-(benzyloxy- carbonyl)amino]-5-pheny 1-2/7-1 ,4-benzodiazepin-2-yl } -1 - propanol An ice cold solution of 865 mg (1.96 mmole) of N- {(■_>)- (+)-2-amino-[(/?,__')-3-(benzyloxycarbonyl)amino]-5-phenyl-2- t -l ,4- benzodiazepin-2-yl}-l -propanol in 35 ml of methylene chloride was protected from moisture and treated with methanesulfonyl chloride (182 μL, 2.35 mmole) and diisopropylethylamine (683 μL, 3.92 mmole). After 15 minutes the reaction mixture was allowed to warm to room temperature and stirring was continued for 1.5 hours more. All volatiles were removed under reduced pressure, the residue was azeotroped with toluene and then dissolved in 200 ml of ethyl acetate. The organic phase was washed once with 10% citric acid solution containing brine (50% by volume), with 10% sodium carbonate solution (2 X 20 ml), and then with brine. The organic extracts were then dried (sodium sulfate) and concentrated to yield 677 mg of crude product as a mixture of diastereomers. This material was taken directly to the next Step C. Step C: Preparation of (4R,4S)-ammo-(2S)-methyl-6-pheny 1-2,4- dihydro- 1 /-imidazo r 1.2-αl \ 1.41benzodiazepine (4R,4S)-(Benzyloxycarbonyl)amino-(2S)-methyl-6-phenyl- 2,4-dihydro-l_ -imidazo[l,2-α][l,4]benzodiazepine (120 mg, 0.28 mmole) was dissolved in 25 ml of dry methanol and treated with 55 mg of 10% palladium/carbon catalyst. The resulting suspension was stirred at ambient temperature for 1.25 hours under a hydrogen atmosphere. An additional 50 mg of palladium catalyst was added and stirring was continued for 2 hours more. The reaction mixture was filtered and the catalyst was washed with methanol. The filtrated was concentrated in vacuo and the residue was azeotropically dried with toluene to give 86 mg of the product. Step D: Reaction of (4R,4S)-amino-(2S)-methyl-6-phenyl-2,4- dihydro-l Z-imidazotl^-αJtl^Jbenzodiazepine with 6- aminoindole 6-Aminoindole (71 mg) was dissolved in 14 ml of tetrahydrofuran at 0°C and treated with 151 μL of triethylamine. To this mixture was added 53 mg (0.18 mmole) of triphosgene. More triethylamine was added until the pH of the reaction mixture registered 8.5 using moist pH paper. The reaction mixture was stirred at 0°C for 5 minutes and at ambient temperature for 5 minutes more. The reaction mixture was recooled to 0°C and treated with 133 mg (0.46 mmole) of (4R,4S)-amino-(2S)-methyl-6-phenyl-2,4-dihydro- l -imidazo[ 1 ,2- α][l,4]benzodiazepine in 2 ml of tetrahydrofuran. After 10 minutes the reaction mixture was filtered and the filtrate was concentrated. The resulting residue was partitioned between 10% citric acid solution and ethyl acetate (75 ml). The organic phase was then washed in succession with 10% sodium carbonate solution and brine, then dried and concentrated. Separation of the final product diastereomeric mixture via chiral preparative HPLC chromatography (cf. Example 1, Step B) yielded 18 mg of N-[(2S,4S)-methyl-5-phenyl-2,4-dihydro-l_¥- imidazo[l,2-α][l,4]benzodiazepin-4-yl]-N'-[6-indolyl]-urea with 99% diastereomeric purity: m.p. 176-180°C. iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: >99% pure at 214 nM; FAB MS: 449 (M+ + H ). Elem. Anal, calc'd for C27H24N6θ-0.35EtOAc-0.45H2θ: Calc'd: C, 69.98; H, 5.73; N, 17.24. Found: C, 70.02; H, 5.53; N, 17.22. N-[(2S,4R)-methyl-5-phenyl-2,4-dihydro-l- -imidazo[ 1 ,2-α] [1 ,4] benzodiazepin-4-yl]-N'-[6-indolyl]-urea (21 mg total) was obtained in >99% diastereomeric purity: m.p. 190-185°C(d). iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: >98% pure at 214 nM; FAB MS: 449 (M+ + H ). Elem. Anal, calc'd for C27H24N6θ-0.40EtOAc-0.65H2θ: Calc'd: C, 69.33; H, 5.80; N, 16.96. Found: C, 69.27; H, 5.47; N, 16.98. EXAMPLE 16 Preparation of (4S)-N-[(2S)-methyl-6-phenyl-2,4-dihydro-l_ - imidazo[l ,2-α] [1 ,4]benzodiazepin-4-yl]-(3-chlorophenyl)-l -acetamide and (4R)-N-[(2S)-methyl-6-phenyl-2,4-dihydro-l/ -imidazo[l ,2- l T 1.41benzodiazepm-4-yl1 -(3-chlorophenyl . - 1 -acetamide (4R,4S)-Amino-(2S)-methyl-6-phenyl-2,4-dihydro-l /- imidazo[l,2-α][l,4]benzodiazepine (74 mg, 0.25 mmole), prepared according to Example 15, Step C, was combined with 48 mg (0.28 mmole) 3-chlorophenylacetic acid, 38 mg (0.28 mmole) 1- hydroxybenzotriazole hydrate, 54 mg (0.28 mmole) l-ethyl-3-(3- dimethylaminopropyl)carbodiimide hydrochloride (54 mg, (0.28 mmole), and 39 μL of triethylamine in 3 ml of N,N-dimethyl- formamide. The reaction mixture was stirred for 18 hours and concentrated. The residue was partitioned between ethyl acetate and water. The organic phase was separated, washed with brine and dried. Concentration of the combined organic extracts yielded 60 mg of crude product. Purification to homogeneity of the product mixture was accomplished via HPLC employing a Rexchrom Pirkle Covalent L- Leucine column (5μ, 100A). (Chromatography conditions: 1:1 hexane- isopropanol eluant containing 0.2% triethylamine; 2 ml/min flow rate). In this way, (4S)-N-[(2S)-methyl-6-phenyl-2,4-dihydro-l -imidazo[l,2- a] [ 1 ,4]benzodiazepin-4-yl] -(3-chlorophenyl)- 1 -acetamide was obained in excess of 99% diastereomeric purity: m.p. 116-118°C(d). iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: >99% chemically pure at 254 nM; Rf = 0.59 (chloroform- methanol, 95:5) FAB MS: 443 (M+ + H ); Elem. Anal, calc'd for C26H23CIN4OO.2CHCI3O.4H2Q: Calc'd: C, 66.39 H, 5.10; N, 11.82. Found: C, 66.42; H, 5.11; N, 11.72. (4R)-N-[(2S)-methyl-6-phenyl-2,4-dihydro-l_ -imidazo[l ,2- -2] [1 ,4]benzodiazepin-4-yl]-(3-chlorophenyl)-l -acetamide was obtained in 99% diastereomeric purity: m.p. 120-124°C(d). iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: >99% pure at 254 nM; Rf = 0.53 (chloroform-methanol, 95:5) FAB MS: 443 (M+ + H ); Elem. Anal, calc'd for C26H23ClN4θ-0.15CHCl3-0.3H2θ: Calc'd: C, 67.36; H, 5.13; N, 12.02. Found: C, 67.37; H, 5.13; N, 11.97. EXAMPLE 17 Preparation of (4S)-N-[(2S)-methyl-6-phenyl-2,4-dihydro-l-¥- imidazo[ 1 ,2-α] [ 1 ,4]benzodiazepin-4-yl]-(6-indolyl)- 1 -acetamide and (4R)-N-[(2S)-methyl-6-phenyl-2,4-dihydro-l -imidazo[l,2- g] . 1 ,4]benzodiazepin-4-y 11 -(6-indolyl , - 1 -acetamide (4R,4S)-Amino-(2S)-methyl-6-phenyl-2,4-dihydro-l - imidazo[l,2-α][l,4]benzodiazepine (78 mg, 0.269 mmole), prepared according to Example 15, Step C, was combined with 6-indolylacetic acid (61 mg (0.35 mmole), 1-hydroxybenzotriazole hydrate, 47 mg (0.35 mmole) l-ethyl-3-(3-dimethyl__mmopropyl)carbodiimide hydrochloride (67 mg, (0.35 mmole), and 0.35 mmole of triethylamine in 6 ml of N,N-dimethylformamide. The pH of the reaction mixture was adjusted to 8.5 with triethylamine and stirring was continued for 2 hours. The reaction mixture was concentrated and the residue was partitioned between ethyl acetate and water. The organic phase was separated, washed with brine and dried. Concentration of the combined organic extracts yielded 190 mg of crude product. Purification of the product mixture initially by flash chromatography on silica gel (2-5% methanol in chloroform gradient) and then via HPLC employing a Rexchrom Pirkle Covalent L-Leucine column (5μ, 100A) (Chromatography conditions: 1:1 hexane-isopropanol eluant containing 0.2% triethylamine; 2 ml/min flow rate) provided (4S)-N-[(2S)- methyl-6-phenyl-2,4-dihydro-l -imidazo[l ,2-α] [ 1 ,4]benzodiazepin-4- yl]-(6-indolyl)-l -acetamide in excess of 85% diastereomeric purity: m.p. 138-140°C(d). iHNMR (CDC13): Consistent with structure and confirms solvate form; HPLC: >99% chemically pure at 214 nM; FAB MS: 448 (M+ + H ); Elem. Anal, calc'd for C28-H25N5OO.3CHCl3-0.15 hexane: Calc'd: C, 70.66 H, 5.57; N, 14.11. Found: C, 70.92; H, 5.48; N, 14.11. (4R)-N-[(2S)-methyl-6-phenyl-2,4-dihydro-li I /-imidazo[l,2- α][l,4]benzodiazepin-4-yl]-(6-indolyl)-l -acetamide was obtained in 90% diastereomeric purity: m.p. 148-150°C(d). iHNMR (CDCI3): Consistent with structure and confirms solvate form; HPLC: >95% pure at 254 nM; FAB MS: 448 (M+ + H ); Elem. Anal, calc'd for C28H25N5O-0.55CHC13: Calc'd: C, 66.81; H, 5.02; N, 13.65. Found: C, 66.56; H, 5.05; N, 13.60.

Claims: WHAT IS CLAIMED IS: 1. A method of treating arrhythmia which comprises the administration to a patient in need of such treatment of an effective amount of a compound of structural formula: individual diastereomers, enantiomers and mixtures thereof or a pharmaceutically acceptable salt thereof, wherein s R is 1) phenyl, either unsubstituted or substituted with halo, such as chloro, bromo or fluoro, or Cl-3 alkyl, 2) C5-6 cycloalkyl; o A is 1) C2-3 alkylene or alkenylene either unsubstituted or substituted with Cl-3 alkyl, hydroxy-Cl-3 alkyl or O II C-O (Cl-3 alkyl); and 5 , wherein R2 is chloro, Cl-3 alkyl or -CF3; - - HN ιOO The method of Claim 1, wherein Rl is 3. The method of Claim 2, wherein the compound is selected from the group consisting of those included in the following table: 4. The method of Claim 1 comprising the coadministration of the compound of Claim 1 with another antiarrhythmic agent or other cardiovascular agent. 5. A pharmaceutical formulation comprising a pharmaceutically acceptable carrier, and the compound of Claim 1 in combination with another antiarrhythmic agent or other cardiovascular agent.

Inventors: BALDWIN JOHN J, BOCK MARK G, DIPARDO ROBERT M, FREIDINGER ROGER M, REMY DAVID C, BALDWIN, JOHN, J., BOCK, MARK, G., DIPARDO, ROBERT, M., FREIDINGER, ROGER, M., REMY, DAVID, C.
Applicants: BALDWIN JOHN J, BOCK MARK G, DIPARDO ROBERT M, FREIDINGER ROGER M, MERCK & CO INC, REMY DAVID C, BALDWIN, JOHN, J., BOCK, MARK, G., DIPARDO, ROBERT, M., FREIDINGER, ROGER, M., MERCK & CO., INC., REMY, DAVID, C.
Application year: 1994
Main classification: A61K31
IPC codes: A61K31, A61P9, C07D487